Preventive Care Guidelines
Authors: Joseph M. Tibaldi, Daniel L. Lorber
Journal: Annals of Internal Medicine (1991)

Letters1 September 1991Preventive Care GuidelinesJoseph M. Tibaldi, MD, Daniel L. Lorber, MDJoseph M. Tibaldi, MDSearch for more papers by this author, Daniel L. Lorber, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-115-5-406 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: The preventive care guidelines (1) reached our desks the same week that the President of the United States was hospitalized for atrial fibrillation. The guidelines contain a recommendation against routine screening for thyroid disease in persons over 65 years of age. In such patients, however, hyperthyroidism may not present in the classical manner.The President's atrial fibrillation was found to be secondary to Graves disease in the absence of a palpable goiter. Although President Bush had had a "complete" physical examination only 6 weeks before this episode, thyroid function had not been tested. His doctor felt...References1. HaywardSteinbergFordRoizenRoach REDMK. Preventive care guidelines: 1991. Ann Intern Med. 1991;114:758-83. LinkGoogle Scholar2. MartzMcDanielPicker LAL. Curing Bush's thyroid. Newsweek. 1991;May 20:27. Google Scholar3. SurksChopraMariash MIC. Thyroid disorders. JAMA. 1990;263:1529-32. CrossrefMedlineGoogle Scholar1. HaywardSteinbergFordRoizenRoach REDMK. Preventive care guidelines: 1991. Ann Intern Med. 1991;114:758-83. LinkGoogle Scholar2. SorlieLakatosKannel PEW. Influence of cigarette smoking on lung function at baseline and at follow up in 14 years: the Framingham study. J Chronic Dis. 1987;40:849-56. CrossrefMedlineGoogle Scholar3. TockmanAnthonisenWrightDonithan MNEM. Airways obstruction and the risk for lung cancer. Ann Intern Med. 1987;106:512-8. LinkGoogle Scholar4. HepperDrageDavies NCS. Chronic obstructive pulmonary disease: a community oriented program including professional education and screening by a voluntary health agency. Am Rev Respir Dis. 1980;121:97-104. MedlineGoogle Scholar5. PetoSpeizerCochrane RFA. The relevance in adults of airflow obstruction but not of mucus hypersecretion to mortality from chronic lung disease: results from 20 years of prospective observation. Am Rev Respir Dis. 1983;128:491-500. CrossrefMedlineGoogle Scholar1. HaywardSteinbergFordRoizenRoach REDMK. Preventive care guidelines: 1991. Ann Intern Med. 1991;114:758-83. LinkGoogle Scholar2. SurksChopraMariash MUC. American Thyroid Association guidelines for use of laboratory tests in thyroid disorders. JAMA. 1990;263:1529-32. CrossrefMedlineGoogle Scholar3. FreedmanRaffinRothkopfEddy STMD. The value of a stage prop: screening for chronic obstructive pulmonary disease. Chest. 1984;85:406-8. CrossrefMedlineGoogle Scholar4. RisserBelcher ND. Adding spirometry, carbon monoxide and pulmonary symptom results to smoking cessation counseling: a randomized trial. J Gen Intern Med. 1990;5:16-22. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Albert Einstein College of Medicine Bronx, NY 10461 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byIs Screening for Chronic Obstructive Pulmonary Disease Justified? 1 September 1991Volume 115, Issue 5Page: 406-407KeywordsAtrial fibrillationHyperthyroidismPreventive medicineThyroidThyroid diseases Issue Published: 1 September 1991 PDF downloadLoading ...